Individual provider Active NPI

Jessica Canavan

  • Physician Assistant
  • Gainesville, VA
National Provider Identifier
1629847397
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7051 Heathcote Village Way Ste 230
Gainesville, VA 20155-3266
Phone
(571) 472-4200
Fax
(703) 279-4201
NPI assigned
Dec 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

7051 Heathcote Village Way Ste 230
Gainesville, VA 20155-3266

Mailing address

7051 Heathcote Village Way Ste 230
Gainesville, VA 20155-3266
Phone (571) 472-4200

Other identifiers 1

IdentifierTypeStateIssuer
30017807210001MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240320001149 VA Practitioner - Physician Assistant 9234576752 Reassigns benefits to 4 organizations
I20241213001828 DC Practitioner - Physician Assistant 9234576752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, shared by 24 NPIs, 1,821 clinicians

Practice addresses (Care Compare)

44055 Riverside Pkwy
Suite 110
Leesburg, VA 20176-5155
Phone (703) 391-4500

Hospital & facility affiliations

  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Oct 13, 2025 Accepting new patients
Inova Health Care Services CurrentSince Oct 13, 2025 Accepting new patients
Inova Health Care Services CurrentSince Oct 13, 2025 Accepting new patients
Loudoun Medical Group, PC CurrentSince Dec 9, 2024 Accepting new patients
Valley Physician Enterprise, Inc CurrentSince May 1, 2024 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince May 1, 2024 Accepting new patients
Loudoun Medical Group, PC CurrentSince Dec 9, 2024 Accepting new patients
Winchester Medical Center CurrentSince May 1, 2024 Accepting new patients
Winchester Medical Center CurrentSince May 1, 2024 Accepting new patients

Locations

6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700

20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652

3800 Fettler Park Dr
Ste 312
Dumfries, VA 22025
Phone (571) 472-6791

8081 Innovation Park Dr
Ste 900
Fairfax, VA 22031
Phone (571) 472-4200

3620 Joseph Siewick Dr
Ste 400
Fairfax, VA 22033
Phone (703) 264-7801

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

7051 Heathcote Village Way
Ste 230
Gainesville, VA 20155
Phone (703) 391-4500

44055 Riverside Pkwy
Ste 110
Leesburg, VA 20176
Phone (703) 391-4500

224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001

19450 Deerfield Ave
Ste 325
Leesburg, VA 20176
Phone (571) 252-8119

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

220 Campus Blvd
Ste 210
Winchester, VA 22601

Interoperability endpoints

  • Direct secure messaging: jcanavan1235586@soc.inova.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1629847397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7051 HEATHCOTE VILLAGE WAY STE 230",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553266",
            "telephone_number": "571-472-4200",
            "fax_number": "703-279-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 HEATHCOTE VILLAGE WAY STE 230",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553266",
            "telephone_number": "571-472-4200",
            "fax_number": "703-279-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANAVAN",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-22",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017807210001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

Verify at the official NPI Registry.